Provider Demographics
NPI:1982786596
Name:GREENWOOD PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:GREENWOOD PHYSICAL THERAPY PLLC
Other - Org Name:GREENWOOD PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:OSAKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-782-5789
Mailing Address - Street 1:8750 GREENWOOD AVE N
Mailing Address - Street 2:SUITE S1
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-3684
Mailing Address - Country:US
Mailing Address - Phone:206-782-5789
Mailing Address - Fax:206-782-5794
Practice Address - Street 1:8750 GREENWOOD AVE N
Practice Address - Street 2:SUITE S1
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-3684
Practice Address - Country:US
Practice Address - Phone:206-782-5789
Practice Address - Fax:206-782-5794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty